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Get Application For Nomination YC Form Fill SEP 08.doc

L Youth Council Rennise Ferrario, Chair Claudia C. Corchado, Vice Chair www.co.merced.ca.us/wi/youth/youth.html Application for Nomination to the Youth Council Date: Name: Home Telephone: Home Address: Home Fax: Home email: Place of Employment: Occupation/Position: Work Address: Work Phone: Work Fax: Work e-mail: Please answer the following questions with as much pertinent information about yourself as possible. This form will be used to evaluate your qualification for nomination to serv.

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